R2020-149 Resolution Authorizing Agreement with BlueCross BlueShield of Illinois for Administration of the City Group Health Benefit Plan for Calendar Year 2021

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BlaeCrctaa Bleg ueSttteld City Of Decatur ASO Projection January 1,2021-December 31,2021 1/1/2021 ASO Medical Renewal CONDMONS AND CAVEATS Please refer to the ACA Disclaimer regarding benefits and final pricing. Notwithstanding anything in the renewal or Proposal to the contrary,BCBSIL reserves the right to revise or withdraw our offer,or to change our administrative fees(and/or pass-through amounts) at any time before or during the contract period(all of which may be estimates,allocated or pro-rated amounts)if any local,state or federal legislation,regulation,rule or guidance (or amendments or clarifications thereto)is enacted or becomes effective/implemented,which would increase projected claim costs or BCBSIUs expenses or cost of plan administration,or would otherwise require BCBSIL to pay,submit or forward,on its own behalf or on the Employer Group's behalf,any additional tax,surcharge,fee,or other amount. NOTICE:ACA provided for the establishment of a temporary reinsurance program(s)for a three(3)year period(2014-2016),which is funded by reinsurance contributions("Reinsurance Fees")collected from health insurance issuers and self-funded group health plans,beginning in 2014.Information as to how these fees are calculated is provided by federal and state governments.Federal regulations establish a flat,per member,per month fee. ACA also provides that self-funded plan sponsors are responsible for the Reinsurance Fee.BCBSIL will not assist in the remittance of those fees to the federal government;however,upon request, we can make available to our self-funded/ASO customers,existing data and information that may be helpful in determining,reporting on,and remitting their Reinsurance Fee amounts. The total annual Stop Loss premiums and ACV factors are based upon the total projected enrollment and contract distribution as indicated on this exhibit. Significant changes in the above stated enrollment and contract distribution will require a review and adjustment of the fees and factors. This renewal is being provided for the period indicated above. This renewal offer expires as of the effective date indicated above. This renewal offer assumes HCSC will remain the exclusive carrier for Medical and Rx coverage. Upon inquiry from employer groups,BCBS will provide information to the employer group regarding commissions and other compensation paid to the employers agent by BCBS in connection with the employers policy or contract with BCBS. The Individual Stop Loss quote is being offered on a Paid basis during the policy period indicated above. The Aggregate Stop Loss quote is being offered on a Paid basis during the policy period indicated above. Health Paid Claims subject to Individual Stop Loss are paid claims from the following line(s)of coverage:Medical,Drug,Illinois Access Fee Health Paid Claims subject to Aggregate Stop Loss are paid claims from the following line(s)of coverage:Medical,Drug,Illinois Access Fee HCSC reserves the right to adjust the Average Claim Value if one or more of the following occurs within the coverage period: -the Account's composition changes(i.e.demographics) -the Account's number of covered employees increases or decreases by more than 10 -the Account's benefit program changes The minimum Aggregate Attachment Point was calculated as 90%of the ASL Limit per contract per month multiplied by the projected cumulative contracts for the period. Aggregate Health Stop Loss premium is payable annually and is due by the first day of the policy period. Individual Health Stop Loss premiums are payable on the first day of each month. Any amount in excess of the Individual Health Stop Loss limit will not be included in the Aggregate Health Stop Loss Settlement. HCSC's pharmacy benefit manager,PRIME Therapeutics(PBM),holds rebate contracts with pharmaceutical manufacturers. HCSC may,in some circumstances,provide the Employer with a Rebate Credit,but such Rebate Credit may not equal the entire amount of the rebates provided to HCSC by the PBM. Employers that do not use Prime Therapeutics as their pharmacy benefit manager are NOT eligible for a Rebate Credit. HCSC's current estimate of the rebates it will receive from the PBM,for drugs covered under the pharmacy benefit,for the employers covered members,is approximately$26.66 per script. Proprietary and Confdentlal Information of BCBSIL Not for use a disclosure outside BCBSIL,Employer,their respective affiliated cornpanies and third-party representatives,except with written permission of BCBSIL.